COTTONWOOD THERAPY ASSOCIATE
NPI 1104803675
Clinic/Center - Multi-Specialty in Los Alamos, NM

NPI Status: Active since December 27, 2005

Contact Information

190 CENTRAL PARK SQ
SUITE 105
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 662-1419
Fax: (505) 672-1739

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About COTTONWOOD THERAPY ASSOCIATE

This page provides the complete NPI Profile along with additional information for Cottonwood Therapy Associate, a provider established in Los Alamos, New Mexico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1104803675 assigned on December 2005. The practitioner's primary taxonomy code is 261QM1300X with license number 200110082 (NM). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Cottonwood Therapy Associate. The authorized official of this NPI record is Donna Marie Giaquinto Lpcc (Director)

NPI
1104803675
Provider Legal Name
COTTONTREE CENTER
Other Organization Name
COTTONWOOD THERAPY ASSOCIATE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
190 CENTRAL PARK SQ SUITE 105 LOS ALAMOS, NM 87544
Location Phone
(505) 662-1419
Location Fax
(505) 672-1739
Mailing Address
190 CENTRAL PARK SQ SUITE 105 LOS ALAMOS, NM 87544
Mailing Phone
(505) 662-1419
Mailing Fax
(505) 672-1739
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2005
Last Update Date
03-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
200110082
License State
NM

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA MARIE GIAQUINTO LPCC

Authorized Official Title
DIRECTOR
Authorized Official Phone
(505) 662-1419

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000B9545MEDICAID (05)NM 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104803675
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041606614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 0 + 6 + 6 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1104803675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154319788 DONNA MARIE GIAQUINTO LPCC
Individual
Psychologist (School)190 CENTRAL PARK SQ SUITE 105
LOS ALAMOS, NM 87544
(505) 662-1419
1912238965HEATHER MCCULLOCH, LMFT, LLC
Organization
Psychiatric Unit190 CENTRAL PARK SQ SUITE 216
LOS ALAMOS, NM 87544
(505) 661-8098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104803675, enumerated in the NPI registry as an "organization" on December 27, 2005

The provider is located at 190 Central Park Sq Suite 105 Los Alamos, Nm 87544 and the phone number is (505) 662-1419

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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